HomeMy WebLinkAboutBuilding Permit Application ALL APPLIWARI-E INFO MUST BE COMPMW FOR APPLICATION TO BE ACCEPTED
�� -� o
Date: PermitNumber
RECEIVED
Building Permit Application APR 1*7 2016
Planning and Development Services
Building and Code Regulation Division
23W Itirgftzld Avenue,Fort Pierce FL 34.982
Phone: 772)462-1553 Fn:(772)462-1578 Commercial Residential X
PERMITI APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax tD#: 3414-501-1701-00019 Lot No.
ISite Plan Name: Block No.
I
ProjectName:
Setbacks FrontBacic_Right Side:_Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTR', LICTION INFORMATION:
Additional work to be nartormed under Ints permit—check all apply: E
LJHV A� C Gas Tank 0Gas Piping Mutters []Windows/Doors
EI
Electric LJ Plumbing OSprinklers Generator Roof
I
Tota)Sq t-T OT Construction:_ so.Ft.of First Floor.
"'I es--0 Sewer[]Septic Building Height:
Cost of Construction:$— &eqoa,:�>C) Utilities
OWNER/LESSEE: CONTRACTOR:
Name I Wynne Building Corp. Name:_ James W Law
Address: 18000 3 US#1 Suits 402 Company. LaWs Oeotflo,Inc.
City: 1!Dort SL Lucie State FL Address: 218 Beach Avenue
Zip code: 34952 Fax: city. Port St Lucia State: FL
Phone %J01 772-878-5513 Zip Code: 341952 Fax: 772-878-3347
E-Mail Phone No_ 772-971-4612
Fill in fee pliriple rifle Holder on next page(if different E-Mail: lawselectricinc@aol.com
from the owner listed above) State or County License:- ER0000122
Tt-value of construction is$2500 or more,a RECORDED Notice of Commencement is reqtfired.
d 9l, 8l, AV
i
SUPPLEMLNTAL CONSTRUCTION LIEN LAW INFORMATION:
DF.51-GH ERI ENGINEER: Not/4pplicable MORTGAGE COMPANY-.
✓ Not Applicable
Name: Marne-
Address: Address:
CftY' i Phone: stagy rr� Phone: State:
Zip: p=
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address: I Address:
aw: I
Zip_ I Phone: Zip: Phone:
i
I certify thatno work orinstallation has commenced-priorfio the issuance of permit.
St Lucie County makes no representation that is granting a permit will authorize the pit holder to bald the subject structure
which is in corrilict with gjgi cable Home OwnetsRssorlatlon rules,bylaws or and eovenan that may restrict or prairnn'bit such
stbPlease consult w�ii your Home Ownws Assoaatlon and review your deed inrany restrictions which may appl
uc� y.
in consideration of-the granting ofthis requested perms I do hereby agree that 1 will,in all respects,perform the work
in accordance(with the approved plans,the Ronda Building Codes and St Lucie County Amendmen f
'rhe following build'mg perby applications are exempt from undergoing a full concurrency re ftw.room adrwons,
accessory st u tures,swour Ing pools,fences,waft signs,screen rooms and accessory usestg another non4esiden ial use
WAMING TO OMEW.Yowrfailureto.Record a Notice of Commencement may result inyour payingtwice for
improvemehu to your property_A Notice.of Commencement must be recorded and posted on the jobsite
before the first inspection.If you intend to obtain fin►ancmgr consult vucth lender or an attorney before
cornmencing work or recordiggyOur Notice of Commencement
lop
mein
of Owner/Agerry Lessee tore of ContractarAlcense Holder
STATE OF F1.0R1DA = STATE OF FLORIDA
•COUNTII OF SAINT LUCIE COUNTY O1F SAINT LUCIE
'rhefo im instxu waspekn9wledged before me Thefor+�oing instrug+ wad itnnwledged before me
this of • ^20 yh6y this: day ofs n ,20v
�11IE5 W LAW JAMES W LAW
IA
(iVa M of person acknowledging) (Name of person admowledging}'
1 �
WC n—a TLNota ry Public.State of Florida) W Notary Public-State of Florida)
Parsonally Known OR produced identification Personally Known
V' OR Produced Iderniftcation
Type of l4a 'i cation Produced Type of lderrtifirat5on Produced
NOTARY 1'UBUC LSTATE
LAW
1 E 846905 6mmisgon No_ JEE 846906 YPUBLIC
Commission No. —- A'1 E OF FLORIDA OF FLQRM/1
. CmnnW EE846906
ti Bow IorAwi's
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION - SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ETTE
COMPLETE
INMAIS
Z'd, Lti£E8L8ZLLMVE66 66 g 8l adV